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Conflict perspective in healthcare
Conflict resolution in the health care environment
Conflict perspective in healthcare
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PORCHÉ FINAL EXAM Case I Boundaries Violation Dual Relationships Boundaries violation accrues when a client has developed a dependent relationship with therapist and a therapist will not refer out, which means that the therapist has loyalty to do no harm upon clients (Welfel, 2013/2010). Undue influence (Conflictual dual relationships) according to Colorado Association of Psychotherapist (2011): Therapist shall not enter into a therapeutic relationship with a client where there is undue influence to the detriment of the client or where there is a risk of exploitation or impaired judgment by the therapist. Therapist shall be especially sensitive to conflicts of interest that may arise from dual relationships during or immediately before or after a therapeutic relationship (p. 4) APA implies (2010) (sec. 10.10), ending or referring patients are based on when treatment has successfully resolved a client’s problem. In this dilemma the patient dependency lies on Howard, he believes that, “if she needs it, she gets it,” but he is causing harm to the patient referring is necessary at thi...
This case study is an interpretation of a problem or situation that has occurred within a LPC’s (License Professional Counselor) care. As information is gathered, the depiction to this specific problem in this case study may also include additional information that may deem so to be necessary, in order to place possible solutions or actions that could have or will arise from the situation. This document will consist of a step by step analysis of the factors which impact the case, mostly in the order of what appears to be the most ethically sound decision. This document involves Stephanie’s (therapist) treatment of Martha Rose (client). The therapist, Stephanie, has been given a case through referral from an unknown source; Stephanie is working with this new case in SC (South Carolina).
According to Guideline 1.06 (a) In many communities and situations, it may not be feasible or reasonable for behavior analysts to avoid social or other non-professional contacts with persons such as clients, students, supervisees, or research participants. Behavior analysts must always be sensitive to the potential harmful effects of other contacts on their work and on those persons with whom they deal (Bailey & Burch, 2011, p. 65) A situation in which a behavior analyst faced the possible development of a dual relationship will be presented, as well as the steps that were taken in an attempt to avoid it. Guideline 1.0 Responsible Conduct of A Behavior Analyst states that the behavior analyst maintains the high standards of professional behavior of the professional organization. In our assigned text, Bailey and Burch specify that you should strive to avoid social contacts with your clients because it might interfere with your objectivity as a behavior analyst (2011) in regard to Guideline 1.06 Dual Relationships and Conflicts of
There is a pressing need for a high level of worker/client boundary identification when working within a client population, however realizing a conflict of interest scenario is vitally important when facing a dual relationship with a client. There are so many issues that are faced by a human service professional, explaining all of them may be difficult. In this field there are issues such as burnout, secondary trauma, compassion satisfaction, dual relationships, and boundary issues. (Reamer, F. (2012). As human services professional or social workers there is a code of ethics. In statement 6 of the code of ethics, it states human services experts must be mindful that in their associations with customers/clients power and status are unequal. Accordingly they distinguish that double or various relationships might build the danger of damage to, or abuse of, customers, and may debilitate their expert judgment. In any case, in a few neighborhoods and circumstances it may not be achievable to escape social or other nonprofessional contact with customers. Human service professional experts...
As this book points out, and what I found interesting, the therapeutic relationship between therapist and client, can be even more important than how the therapy sessions are conducted. A therapists needs to be congruent. This is important because a client needs a sense of stability. To know what is expected from him or her while being in this transitional period of change. In some cases this congruency may be the only stability in his life, and without it, there is no way of him trusting in his t...
Still, major concern with boundary crossing in treatment is the potential, differential between therapists, and clients and how therapists may use or abuse the power. Therapist are hired for their professional expertise, which consequently gives them an expert- based power over their clients (Zur, 2007, p. 47). Husted could have asked herself should I cross this boundary (i.e., is it ethical to keep a “secret” of into a relationship with a client) or what are the opportunities plus advantages of carrying out rather not carrying out the sexual performance (risk of either accepting or rejecting of the client).
A friendship isn’t a “task or goal to complete, it’s a need that people have for companionship and can last a life time” (Mandell & Schram, pg. 107). As seen in the table below the therapist and client would “negotiate a contract in which the tasks and goals are spelled out” (Mandell & Schram, pg. 108). Table 2 is an example of a dialog of a
Over the course of their therapeutic relationship, Dr. Davenport violates client confidentiality as it is described by the American Counseling
Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
So your opinions on the topic may or may not help out the situation and also in some unfortunate cases can send the client into a ‘downward spiral’. By expressing your ethical issues on the topic to your client you may trigger unwanted emotions. These unwanted emotions can drive the client to hurt themselves or even make the client take legal actions towards the counselor. Ways to prevent this from happening is learning your own self-control and what your limits are when its comes to dealing the client. “You want to consider the best action that will protect your client’s needs, but you also want to ask yourself: What is the best action to protect the profession and myself? (Berton, J. D. (2014). Make the Rule to Break the Rule: Setting Your Ethical Standards. Counselor: The Magazine For Addiction Professionals, 15(5), 10-12
Dual relationships in a psychological or therapist aspect can be common and sometimes unavoidable. An example of dual relationships in the psychology community would be a therapist having a student as a client. This can be known as a nonsexual dual relationship, which can be complex and can affect both counselors and the clients’ alike (Herlihy & Corey, 1992). Research has been conducted asking whether it is appropriate for students to be clients of their college counselors, with that question there were a broad array of opinions on the topic, some with interests in the dual relationships and some that were not. A major issue that could arise from a dual relationship like a therapist student relationship is that the therapist could have impaired
...f dual relationship there was also a possibility of the client becoming dependant on the therapist which could be seen as unethical by the BACP (2010).
...confidential information is shared without their permission, this situation can be detrimental to the client. The client may stop treatment or be passive-aggressive towards the therapist by being late of cancelling appointments with the clinician.
Resistance comes as clients attempt to control sessions or refuse to talk to each other in sessions, arrive late, insisting that one family member is the problem, or challenging the therapist’s competence (Gladding, 2011). Subsequently, if treatment is to be
In this case, the psychologist is presented with several ethical issues which could cause harm to the client. The first ethical issue that arose in this case is the potential for a role conflict. The psychologist and Mr. Hartwig had contact prior to the development of a therapeutic relationship when the psychologist bought a car from Mr. Hartwig. It may not be enough that the brief, informal relationship ended. The psychologist must assess the dimensions of the previous relationship from the viewpoint of the client as well as his/her own personal feelings (Koocher & Keith-Spiegel, 2008). For example, the client could feel that he gave the psychologist a good deal and that the psychologist was indebted to him. This could leave the psychologist vulnerable to being manipulated by the client. Or, what if the car broke down? This could leave the psychologist feeling cheated and resulted in hostile feelings toward the client. The psychologist has an ethical responsibility to examine both relationships for role incompatibility prior to forming a therapeutic relationship. The psychologist seemed to be aware that there was the potential role conflict resulting from their initial meeting, and he acted ethically by attempting to refer Mr. Hartwig to a Psychology Registry.
However, I feel that if a client has a sever problem this act should not take place because the therapist is now “shifting the focus of therapy away from the client”(e.g., see cutis, 1982b; Freud, 1912/1958; Greenson, 1967, chap. 3) and that it self is damaging the client.